TAYLOR FANCHER APRN, PMHNP
NPI 1962966085
Nurse Practitioner - Psychiatric/Mental Health in Southlake, TX

Active since January 23, 2019PECOS EnrolledAccepts Medicare Assignment
1207 S WHITE CHAPEL BLVD STE 260, SOUTHLAKE, TX 76092(214) 267-9405(214) 472-2872 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Jul 27, 2022, Jan 23, 2019 (3 updates tracked since 2019).

About Taylor Fancher Aprn, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR FANCHER APRN, PMHNP (NPI 1962966085) is an individual psychiatric/mental health provider in Southlake, Texas, licensed in Washington (AP61143112) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mountlake Terrace, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962966085
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTAYLOR FANCHERCredential: APRN, PMHNP
Location Address1207 S WHITE CHAPEL BLVD STE 260Southlake, TX 76092-9344
Mailing Address100 N Howard St Ste RSpokane, WA 99201-0508 · (214) 267-9405 · Fax (214) 472-2872
Fax(214) 472-2872
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 23, 2019
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1962966085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in WA · AP61143112 Licensed in TX · AP141643
1207 S WHITE CHAPEL BLVD STE 260, Southlake, TX 76092

Secondary Practice Location 1

Location 121907 64th Ave W Ste 200Mountlake Terrace, WA 98043-6200 · Phone (425) 640-7009 · Fax (214) 472-2872

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Taylor Fancher Aprn, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103253695
PECOS Enrollment IDI20210330002123
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1207 S WHITE CHAPEL BLVD STE 260
SOUTHLAKE, TX 76092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Fancher's NPI number?

The NPI number for Taylor Fancher is 1962966085. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Taylor Fancher located?

Taylor Fancher practices at 1207 S White Chapel Blvd Ste 260, Southlake, TX 76092. The listed phone number is (214) 267-9405.

What is Taylor Fancher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Taylor Fancher enrolled in Medicare?

Yes. Taylor Fancher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Taylor Fancher accept?

Health plans from Providence Health Plan list Taylor Fancher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Fancher was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.